claims technical analyst associate iii Jobs

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SQL Claims Analyst

Apex Systems

Montgomery, Alabama, USA

Full-time

Job#: 2069329 Job Description: Position: SQL Claims Analyst - Medicaid Location: ONSITE - 501 Dexter Ave, Montgomery, AL 36104 Duration: 12-month Contract-to-Hire Pay Rate: $50 - $60/hr. Overview: AL EDS is the new Alabama Medicaid Data warehouse, This position will support the Agency in the rollout and usage Responsibilities: Support the Agency with their Analytic StaffProvide on-site help desk supportCreate Power BI reports at the request of the AgencyProvide data analysis at the request

Senior Claims Risk Manager

Kforce Technology Staffing

Bellevue, Washington, USA

Contract

RESPONSIBILITIES: Kforce has an enterprise client in Bellevue, WA that is seeking a Senior Claims Risk Manager who will own the WW execution for growth of the company. This role requires comfort in ambiguous situations and maintaining a high bar in a dynamic, fast-moving environment. Strong business judgment, ability to influence cross-functional and remotely located teams, a customer-centric and creative mindset and strong analytical skills are also essential. Responsibilities: * The Senior Cl

Enterprise Data Architect with Claims Adjudication Process - Remote

ProCorp Systems Inc.

Remote

Contract, Third Party

Enterprise Data Architect with Claims Adjudication Process Location: Remote Duration: 12 months Healthcare Background Mandatory Requisition Job Description The Lead Data Architect is responsible for designing, building, and maintaining efficient and scalable Application architecture within an organization. They collaborate with various stakeholders to understand technical requirements, create robust solutions, and ensure the integrity, security, and performance of the application infrastructure.

Rx-Claims Test Analyst

RiseIT Solutions

Remote

Contract, Third Party

Company: iTech US, Inc. Job Title: Rx-Claims Test Analyst Location: Remote Job Responsibilities: Experience in Healthcare or a PBM desired..NET C# experience as SDETPrioritize, manage multiple assignments, and direct the work of others to meet deadlines.Excellent communication (Verbal and Written) and collaboration skills.Superior organization, project management, and prioritization skills.Courteous and professional demeaner with the desire and ability to work as a team.Ability to interact and

Senior Business Analyst - Medicaid Claims

Gainwell Technologies LLC

Milwaukee, Wisconsin, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Software Development Engineer, Customer Support & Claims

Tesla Motors

Fremont, California, USA

Full-time

Tesla service software team at Tesla powers all internal service applications used in Tesla service centers, collision centers, global customer relationship management, tesla insurance claims etc. At Tesla, you'll collaborate with some of the most brilliant Engineers globally, engaging in cutting-edge web application development. The team is seeking a Front-End Software Engineer proficient in Angular to join the team and work on building a better experience for users of our claims' ecosystem. Th

Excellent Job Opportunity || Claims Assist - Solution Architect || Charlotte, NC

Sysmind, LLC

Illinois, USA

Contract, Third Party

Dear Job Seeker My name is Leo and I work as a Sr. US IT Recruiter with SYSMIND. We have been serving fortune 500 clients in the industry to bridge their staffing gap since the past 25 years. I have an Excellent opportunity with one of our clients. Description: Role Name: Claims Assist - Solution Architect Location: Charlotte, NC Duration: 6+ months with possible extension Required Qualifications: Bachelor's Degree in Computer Science, or related technical discipline with proven experience

Legal Administrative Temp - Claims Support

Software Guidance & Assistance

Raleigh, North Carolina, USA

Contract

Software Guidance & Assistance, Inc., (SGA), is searching for a Legal Administrative Temp - Claims Support for a contract assignment with one of our premier Human Resources services clients in NC. This role will be remote. *MUST BE LOCAL TO NC/SC Responsibilities : We are seeking a detail-oriented and organized Legal Administrative Temp to provide essential support to the firm's Employment Practices Liability ( "EPL") Claims team. This role will assist with administrative tasks including pul

Senior Project/Program Manager - Claims Platform Migration

ConsultNet, LLC

Minneapolis, Minnesota, USA

Full-time

Senior Project/Program Manager - Claims Platform Migration (Fully Insured) Overview We're seeking an experienced Senior Project/Program Manager to lead a high-impact initiative focused on migrating a commercial claims platform. The ideal candidate will bring deep expertise in managing complex technology and business transformation efforts specific to fully insured commercial health plans (small and large group). This individual will play a critical role in building and executing repeatable proce

Software Development Engineer, Customer Support and Claims

Tesla Motors

Fremont, California, USA

Full-time

The Tesla Insurance Claims Application team is seeking a Backend Software Engineer to contribute to the development of our Web App. These products are part of Tesla's advanced platforms for managing Service workflow for Vehicle, Insurance Claims and Energy products. The person will be responsible for building and maintaining full stack applications that support various use cases of service business. User interfaces are built with Angular, React and Typescript and are powered by highly performant

Claims Examiner-Lost Time

Sunrise Systems, Inc.

New Haven, Connecticut, USA

Contract

Job Title: Claims Examiner-Lost Time Location: 555 Long Wharf Drive, New Haven, CT06511-5941 Duration: 3 Months (Possible Extension or Conversion) Position Type: Hourly contract Position (W2 only) Note: Job Schedule- 5 days on-site Job hours-8:30am-5:00pm EST 3+ years of Workers Compensation Lost Time Claim Examiner or Commensurate Experience (Having experience in worker s compensation is not a requirement but a nice thing to have, as long as the skills they do have are transferable.) Duties

Business Systems Analyst (Provider, Hospitals, Revenue Cycle, Claims)

Saama Technologies, LLC

Remote

Third Party, Contract

We are seeking a Sr. Business Systems Analyst (BSA) to support the Revenue Cycle and Claims domain for a hospital (Provider) ecosystem. The ideal candidate will play a pivotal role in analyzing data flows, understanding business processes, and delivering technology solutions that enhance operational efficiency across Registration, Scheduling, Billing, and Accounting. Key Responsibilities: Collaborate with stakeholders to gather, define, and document both current and future business and data need

Health Claims Adjudicator (Licensed New York)

Sureminds Solutions

Remote

Full-time

Inviting applications for the role of Management Trainee, Health Claims Adjudicator New York Licensed In this role, you will review, evaluate, and process medical claims submitted by healthcare providers or policyholders to ensure accuracy and compliance with insurance policies and for New York policies, adherence to State regulations. Responsibilities Claim & Appeals processing according to standard work & SOP Validation of information entered by indexer Verify coverage; evaluate eligibility

Sr Business Analyst Techno-Functional (P and C -PAS/Claims)

My IT LLC

Atlanta, Georgia, USA

Full-time

Job Title: Sr Business Analyst Techno-Functional (P&C - Client / Claims ) Location: Atlanta, GA Type: FTE Exp. Level: Senior / Lead Reports To: Product Owner / Delivery Manager Job Description Our client's customer success team in Atlanta, GA is seeking a Sr Business Analyst with a techno-functional profile, who has deep expertise in P&C insurance, especially in Policy Administration Systems (Client) and/or Claims management platforms. This individual will work closely with our clients to under

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

Remote or Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

Remote or Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Medical Claims Auditor I (Remote, USA)

Gainwell Technologies LLC

Remote or Austin, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu

Epic Resolute Professional Billing & Claims and Remittance

Tranzeal, Inc.

Remote

Contract

Title- Senior Systems Analyst Location- Oakland, CA Job Information Job Description: Job Title: Application Analyst - Epic Resolute Professional Billing & Claims and Remittance Role Description: We are seeking a skilled and experienced Application Analyst with expertise in Epic Resolute, and Claims and Remittance modules o join our dynamic team. This Epic Applications Analyst plays a critical role in the implementation and installation of Epic applications, module upgrades, new components, and m

Senior Epic Analyst - Hospital Billing Claims & Remittance/Professional Billing

Golden Resources. Inc.

Ohio, USA

Full-time

Our client is looking for a Senior Epic Analyst to join their Team! The Senior Epic Analyst will be responsible for Service Now requests and hospital billing claims & remittance. This position designs configures, tests, and implements changes of assigned Epic system applications. In addition, this role will lead operational work groups and teams to gather and analyze requirements for new requests. The Senior Epic Analyst consults with Epic representatives, leadership, and subject matter experts

Pharmacy Sr Business Analyst - Claims & Configuration SME

Gainwell Technologies LLC

Kansas City, Missouri, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Pharmacy Sr Business Analyst - Claims & Configuration SME at Gainwell, you can contribute your skills as we harness the po